Blue Rx PDP Complete Pennsylvania Part D Plan S5593-003 by Highmark Blue Shield
Blue Rx PDP Complete is a Enhanced prescription drug plan from Highmark Blue Shield that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.
This 2024 Medicare Part D plan has a $195.10 monthly premium, $0.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan has an overall rating of 3.5 (Above Average) out of 5 stars.
See more Top Medicare Part D Plans in Pennsylvania.
Part D Plan Basics | |
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Plan ID: | S5593-003 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $195.10/mo |
Deductible: | $0.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | Yes |
Low Income Subsidy: | No |
Availability: | Pennsylvania |
Insured By: | Highmark Blue Shield |
Prescription Drug Plan Premium
Although Blue Rx PDP Complete's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Highmark Blue Shield plan.
Basic Part D Premium: | $135.30 |
Supplemental Part D Premium: | $59.80 |
Total Part D Premium: | $195.10 |
Part D Premium with Full LIS Assistance: | $154.90 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $0.00. This is the amount you must pay at the pharmacy before Highmark Blue Shield begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Blue Rx PDP Complete has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $0.00 copay | $4.00 copay |
2 (Generic) | $5.00 copay | $10.00 copay |
3 (Preferred Brand) | $40.00 copay | $45.00 copay |
4 (Non-Preferred Drug) | 35% | 50% |
5 (Specialty Tier) | 33% | 33% |
CMS Rating Marks and Our Review
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan.
This Medicare Part D plan gets 3.5 out of 5 stars overall. Here's our quick summary of how well Blue Rx PDP Complete performs.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
In terms of quality, safety, and customer service, this Pennsylvania Part D plan is just average. Pennsylvania seniors looking for a plan that prioritizes customer service may be disapointed with Blue Rx PDP Complete because the plan's customer service score is below average. Compared to other plans, Medicare gets relatively few member complaints about this plan. Medicare beneficiaries enrolled in this Highmark Blue Shield plan enjoy a good member experience. Measuring drug safety and the accuracy of drug pricing are one way we can measure quality, and this plan scores good at both.
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. There are enhanced benefit plans with a lower monthly premium than this one. That's okay if the plan covers your prescriptions at a better overall price. This plan comes with a zero-dollar deductible, so you have first-dollar coverage.
Additional Enhanced Medicare Part D Plan Options in Pennsylvania
Here are some additional plans in your area that might be worth reviewing:
- Cigna Saver Rx (S5617-356)
- Wellcare Value Script (S4802-141)
- Wellcare Medicare Rx Value Plus (S4802-209)
- AARP Medicare Rx Preferred from UHC (S5820-005)
- Humana Walmart Value Rx Plan (S5884-185)
Contact Highmark Blue Shield
Plan Website: | Highmark Blue Shield Plan Information |
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Formulay Information: | Highmark Blue Shield Formulary Information |
Pharmacy Information: | Highmark Blue Shield Pharmacy Information |
Prospective Members: | (866)435-1047 |
TTY Users: | (800)227-8210 |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Highmark Blue Shield, "http://medicare.highmark.com", Last Accessed March 11, 2024
- Medicare.gov, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- Medicare.gov, "Help with drug costs", Last Accessed February 19, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024